Individual provider Active NPI

Catherine Joanne Claysen, M.S.R.D.L.D.

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1912089392
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
201 East Huron Renal Clinic
Northwestern Memorial Hospital- Galter Building
Chicago, IL 60611-3008
Phone
(312) 695-0592
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X IL Primary

Addresses

Primary practice location

201 East Huron Renal Clinic
Northwestern Memorial Hospital- Galter Building
Chicago, IL 60611-3008

Mailing address

2959 Woodbine Dr
Valparaiso, IN 46383-8609
Phone (219) 462-6355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.004342ILMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912089392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 WOODBINE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838609",
            "telephone_number": "219-462-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EAST HURON RENAL CLINIC",
            "address_2": "NORTHWESTERN MEMORIAL HOSPITAL- GALTER BUILDING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113008",
            "telephone_number": "312-695-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYSEN",
        "first_name": "CATHERINE",
        "middle_name": "JOANNE",
        "credential": "M.S.R.D.L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.